Sr. LTC Appeals Specialist

Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. Were looking for unique talent with fresh perspectives that can propel innovation. In this role you will handle complex appeals for claimants who have been declined benefit eligibility for LTC either at initial request for benefits or at discharge from a benefit period. May provide coaching to lower level associates

+ Makes decisions based on available information, writes customized, clear, concise letters with appropriate details to insureds, their representatives or attorneys regarding the decision in a timely manner.

+ Ensures compliance with the customer contract and state regulations.